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Virginia rates for HCPCS A5081

Stoma plug or seal, any type

Facilitymedian $3 · 10th–90th $2–$70%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$40%20%40%10th90th$2$0.1$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $4.79
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.19 / $2.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.68 / $5.89
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.31 / $4.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $3.16 / $5.75
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.63 / $3.02
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.55 / $13.49
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.55 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $1.82 / $2.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.29 / $3.63